| NPI | 1942223888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 04369R) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 04369R) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-10-27 |